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Report .✓ /-/ ..11,7--;v1-�"+- gr7o s� cr2&�u u/i oi) 6`"03-36?-- Ill e/m°r3 PC-07 gag...0063,2_003-z. s-r %I MEDICAL AIR/VAC LEVEL 3 DENTAL CLINICS Updated: 04/05/12 gh T LA4 0i cO C)2S NFPA 99C 2002 5;93 -367-7//Fr8 City of Tigard to provide, 2-ea copies of"Medical Gas System Installer Performance /sting Record"to installer for record keeping. _Check installers Medical Gas Certification Card OAR 918-695-0410 _Stamped and Approved Plans on Jobsite OAR 918-750-0190 n r'e'Provide Manufacture's Install. Instruct. on all Equip. 5.3.10.10.13.1 Purging is required for Brazed Compressor Air, Brazing Cert not req. V-Pq-R-1—ow a f aff(%LJUNDERSLAB VAC/AIR PIPING . • . ., no .'. lolls consul 5.3.10.10.4.2& 5.3.10.10.7.3 nder slab w/junction boxes, no joints in conduits 5.3.10.10.7.4 VUnder slab conduit slope: 1/4"per 10' length, no sags, and slope back towards vacuum pump 5.3.10.10.1 & 5.3.10.10.10.2 Accessible cleanouts shall be provided where necessary to clear the piping of obstructions. 5.3.10.10.10.3 re,60 .- Labeling of Vacuum and Air pipes at this time. See Book. 5.3.11.1.4/ 5.3.12.2.5.11 if Vacuum: Check pipe sizing with Manufacturers Install Instructions. 5.3.10.10.13.1 To co.,i Compressed Air: Check pipe sizing Manufacturers Install Instruct 5.3.10.10.13.1 Test for Compressed Air Piping: .-n c.v.–eCopper Type L or K, min 1.5 times the pump working pressure 5.3.12.2.3.5 Test for Vacuum Piping 6 _Vacuum Sch 40 PVC 19 HgV 5.3.12.2.4.3 N/k Vacuum copper, type L or K tube, test, I with Nitrogen NF test at 15 psi 5.3.12.2.3.1/5.3.12.2.3.6 TOPOUT VAC/AIR PIPING '( Check copies of"Medical Gas System Installer Performance Testing Record"to see if it has been updated. if-0heck installers Medical Gas Certification Card OAR 918-695-0410 (/Stamped and Approved Plans on Jobsite OAR 918-750-0190 . Provide Manufacture's Install. Instruct. on all Equip. 5.3.10.10.13.1 410opper pipe support Table 5.3.10.10.5 PVC pipe support 5.3.10.10.6.6 Vacuum Piping /Vac pump trap seal (4"TO 6")to be vented in a conventional manner 5.3.3.6.3.2 (2) A . cessible cleanouts shall be provided where necessary to clear the piping of obstructions. 5.3.10.10.10.3 1 .,- . v 1.3/4 ".7 Labeling of Vacuum and Air pipes at this time. See Book. 5.3.11.1.4/5.3.12.2.5.11 4 At-Vacuum drain directly connected,trapped and vented 5.3.3.6.3.1 rap/drain 2 pipe sizes larger than separator waste outlet, min 2" 5 .3.3.6.3.2 (6) acuum exhaust to go to outside 5.3.3.6.4.1 A. DRAIN FOR RECEIVING TANK- d) ,v o r YJ� ' 5.3.3.6.3.2 - ' - . teal 5.3.3.6.3.2 (1) Deep seal trap to be vented in a conventional manner 5.3.3.6.3.2 (2) Additional trap vent (which shall be the same size as the check valve dia.) installed between the holding tank drain ck. valve &the drain trap, on the inlet side of the trap. Both vents shall rise 6"above the top of the 1� tank before going to the horiz. 5.3.3.6.3.2 (3) t-1 rap & drain branch shall be not less than two pipe sizes larger than the waste pipe from the separator but not less than 2" (see pg 86 in Annex for illustration) 5.3.3.6.3.2 (6) Vac. pump trap under-slab/above grade, shall be deep seal 4"-6" 5.3.3.6.3.2 (7) Vent for the vacuum check valve shall be not less than the size of the check valve 5.3.3.6.3.2 (8) Vent for trap shall be not less than one-half the size of the trap and drain branch Eg. 2"trap= 1 '/4"vent pg 421 UPC 5.3.3.6.3.2 (9) B. DRAIN for POSITIVE PRESSURE, air/water/waste SEPARATOR 5.3.3.6.3.3 Deep seal trap (4"TO 6")to be vented in a conventional manner 5.3.3.6.3.2 (2) Accessible cleanouts shall be provided where necessary to clear the piping of obstructions . 5.3.10.10.10.3 Trap and drain branch shall be not less than two pipe sizes larger than the waste pipe from the separator, but not less than 1 1/2"pipe 5.3.3.6.3.3 (3) The vent shall be same size as trap and trap drain 5.3.3.6.3.3 (4) Verifier Final report submitted to AJH 5.3.12.1.6 Initial Standing Vacuum Test (24 hrs,2 inspections req.) /13/Air Compressor Test to be performed with station outlet valve bodies& ice plates(if used), & other dist sys. components installed. 5.3.12.1.2 /5.3.12.2.7.1 it Piping: Test at 1.5 times pump operating pressure 5.3.12.2.3.5 Vac Piping PVC Plastic 19 Hg 5.3.12.2.8/5.3.12.2.8.1 Copper pipe 19 Hg 5.3.12.2.8/5.3.12.2.8.1 Copper/PVC 19Hg, Drop ok to 12Hg 5.3.12.2.8.3 FINAL,VAC/PRESSURE GAS PIPING / ve plumber/med gas installer, provide performance check sheet signed for records. 5.3.10.10.15.1 _Stamped and Approved Plans on Jobsite OAR 918-750-0190 2 • "rovide Manufacture's Install. Instruct. on all Equip. 5.3.10.10.13.1 eck piping labels 5.3.11.1.4/5.3.12.2.5.11 LEVEL 3 S PPLY SYSTEMS BOTTLED GAS STORAGE CHECKS Signage ofi ressur g s storage room (if required) (other than Oxygen) labeled as follows: "CAUTION Medical Gases No Smoking or Open Flame Open Door& allow Room to Ventilate Before Entering" 5.3.3.1.5 Signage on locations containing oxygen (if required) shall have their door(s) labeled as follows "CAUTION Medical Gases NO Smoking or Open Flame" 5.3.3.1.6 PLAN REVIEW Job Addr: s Permit # FOR: Non-Mee al AirNacuum/Medical Pressure eas Installations Provide two sets of plans Provide Medical : Jo. alue for Permits Fees Check with He. Dep: ent for Installation: Level I, Level 2, or Level 3 Provide sting& Labeling o Vacuum and Dental Air pumps 3.2.5/3.2.6 Pr. side Manufacture's Install. Ins ct. on all Equip. 5.3.10.10.13.1 ystem Sizing-Flow Requirements for ,tation Inlet/Outlet UPC Table 13-4 Size of GasNacuum Piping UPC Table 13-6 Max. Pipe Support Spacing UPC Table 13-7 3